Individual
JESSICA CELESTE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1756 W PARK AVE, RIVERTON, UT 84065-4701
(801) 254-0309
(801) 254-1012
Mailing address
1756 W PARK AVE, RIVERTON, UT 84065-4701
(801) 254-0309
(801) 254-1012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8075945-4405
UT
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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